Individual
TRACY S REICHMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7102 MINERAL POINT ROAD, MADISON, WI 53717
(608) 828-7676
Mailing address
8007 EXCELSIOR DRIVE, MADISON, WI 53717
(608) 829-5247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34267000
—
WI
Enumeration date
03/16/2006
Last updated
03/16/2009
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